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首页> 外文期刊>Current opinion in anaesthesiology >Delirium, cognitive dysfunction and posttraumatic stress disorder.
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Delirium, cognitive dysfunction and posttraumatic stress disorder.

机译：妄，认知功能障碍和创伤后应激障碍。

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PURPOSE OF REVIEW: In the critically ill patient, disease and the therapies we use impact on brain function. Simple tools are now available to recognise such problems. This review highlights neuropsychiatric and cognitive observations that have direct relevance to patient care and outcome. RECENT FINDINGS: Delirium is a common event, especially the hypoactive forms in the elderly. The recognition of significant cognitive dysfunction is worrying since it has profound implications for how we treat and manage patients within intensive care and beyond. The most important message is that the 'awake' intensive care unit patient is not necessarily free of significant brain dysfunction. There is also the added complication of psychological disturbances related to real or imagined delusional experiences underlying the importance of memory and recall. Longer-term implications, particularly debilitating conditions such as posttraumatic stress disorder, mean that there is a need for improved post-intensive care unit rehabilitation care. SUMMARY: Health professionals working with the critically ill must routinely include the assessment of brain cognitive function. While some of the consequences may be unavoidable, we need to reassess our sedation and care practices to ensure we are not confounding the problem. Practical options to improve outcome are being developed and emphasise that the recovery from critical illness is psychological as well as physical.
机译：审查目的：在重症患者中，我们使用疾病和疗法对脑功能产生影响。现在可以使用简单的工具来识别此类问题。这篇综述重点介绍了与患者护理和结果直接相关的神经精神和认知观察。最近的发现：Deli妄是常见的事件，尤其是老年人的机能减退形式。对重大认知功能障碍的认识令人担忧，因为它对我们在重症监护及其他方面如何治疗和管理患者具有深远的影响。最重要的信息是，“清醒的”重症监护病房患者不一定没有严重的脑功能障碍。与真实或想象的妄想经历有关的心理障碍也增加了复杂性，这是记忆和回忆重要性的基础。长期的影响，特别是诸如创伤后应激障碍之类的使人虚弱的状况，意味着需要改善重症监护室的康复护理。摘要：与重症患者一起工作的卫生专业人员必须例行包括对大脑认知功能的评估。尽管某些后果可能是不可避免的，但我们需要重新评估我们的镇静和护理做法，以确保我们不会混淆问题。正在开发改善结局的实用方法，并强调从重病中康复既是心理上的，也是身体上的。

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